Step-Down Skills Checklist Date:* Name: (First, MI, Last)* Email CardiovascularArrhythmia interpretation* N/A Inexperienced Limited Experience Experienced Highly Experienced Heart Sounds interpretation* N/A Inexperienced Limited Experience Experienced Highly Experienced Placement of patient on cardiac monitor* N/A Inexperienced Limited Experience Experienced Highly Experienced Basic 12 lead ECG interpretation* N/A Inexperienced Limited Experience Experienced Highly Experienced Defibrillation/cardioversion* N/A Inexperienced Limited Experience Experienced Highly Experienced Temporary external pacing* N/A Inexperienced Limited Experience Experienced Highly Experienced Temporary transvenous* N/A Inexperienced Limited Experience Experienced Highly Experienced Temporary epicardial wires* N/A Inexperienced Limited Experience Experienced Highly Experienced Permanent* N/A Inexperienced Limited Experience Experienced Highly Experienced Swan Ganz hemodynamic monitoring* N/A Inexperienced Limited Experience Experienced Highly Experienced Central venous catheter* N/A Inexperienced Limited Experience Experienced Highly Experienced Arterial line (A-line)* N/A Inexperienced Limited Experience Experienced Highly Experienced Use of Doppler* N/A Inexperienced Limited Experience Experienced Highly Experienced Post open heart patient* N/A Inexperienced Limited Experience Experienced Highly Experienced Heart transplant patient* N/A Inexperienced Limited Experience Experienced Highly Experienced Pre/post cardiac patient* N/A Inexperienced Limited Experience Experienced Highly Experienced 24-48 hours post MI patient* N/A Inexperienced Limited Experience Experienced Highly Experienced CHF patient (congestive heart failure)* N/A Inexperienced Limited Experience Experienced Highly Experienced Carotid endarterectomy patient* N/A Inexperienced Limited Experience Experienced Highly Experienced Fem-pop bypass patient (femoral-popliteal)* N/A Inexperienced Limited Experience Experienced Highly Experienced Dobutamine* N/A Inexperienced Limited Experience Experienced Highly Experienced Dopamine* N/A Inexperienced Limited Experience Experienced Highly Experienced Epinephrine* N/A Inexperienced Limited Experience Experienced Highly Experienced Heparin* N/A Inexperienced Limited Experience Experienced Highly Experienced Lidocaine* N/A Inexperienced Limited Experience Experienced Highly Experienced Nitroglycerine (Nitro)* N/A Inexperienced Limited Experience Experienced Highly Experienced Pronestyl* N/A Inexperienced Limited Experience Experienced Highly Experienced PulmonaryAssist with extubation* N/A Inexperienced Limited Experience Experienced Highly Experienced Assist with intubation* N/A Inexperienced Limited Experience Experienced Highly Experienced Chest physiotherapy* N/A Inexperienced Limited Experience Experienced Highly Experienced Assessment of breath sounds* N/A Inexperienced Limited Experience Experienced Highly Experienced Monitor pulse oximetry* N/A Inexperienced Limited Experience Experienced Highly Experienced Ventilator management* N/A Inexperienced Limited Experience Experienced Highly Experienced Interpretation of ABG's* N/A Inexperienced Limited Experience Experienced Highly Experienced Administration of nebulizer medications* N/A Inexperienced Limited Experience Experienced Highly Experienced Oropharyngeal suctioning* N/A Inexperienced Limited Experience Experienced Highly Experienced Nasotracheal suctioning* N/A Inexperienced Limited Experience Experienced Highly Experienced Assist with thoracentesis* N/A Inexperienced Limited Experience Experienced Highly Experienced Set up and assist with chest tube insertion and removal* N/A Inexperienced Limited Experience Experienced Highly Experienced Chest tubes* N/A Inexperienced Limited Experience Experienced Highly Experienced Tracheostomy* N/A Inexperienced Limited Experience Experienced Highly Experienced COPD* N/A Inexperienced Limited Experience Experienced Highly Experienced Lobectomy* N/A Inexperienced Limited Experience Experienced Highly Experienced Thoracotomy* N/A Inexperienced Limited Experience Experienced Highly Experienced Lung transplant* N/A Inexperienced Limited Experience Experienced Highly Experienced Aspiration* N/A Inexperienced Limited Experience Experienced Highly Experienced Laryngospasm* N/A Inexperienced Limited Experience Experienced Highly Experienced Pulmonary edema* N/A Inexperienced Limited Experience Experienced Highly Experienced Tension pneumothorax* N/A Inexperienced Limited Experience Experienced Highly Experienced NeuroAssess LOC* N/A Inexperienced Limited Experience Experienced Highly Experienced Use Glascow coma scale* N/A Inexperienced Limited Experience Experienced Highly Experienced Cranial nerve assessment* N/A Inexperienced Limited Experience Experienced Highly Experienced Seizure precautions* N/A Inexperienced Limited Experience Experienced Highly Experienced Halo traction* N/A Inexperienced Limited Experience Experienced Highly Experienced Cervical traction* N/A Inexperienced Limited Experience Experienced Highly Experienced Assist with lumbar punctures* N/A Inexperienced Limited Experience Experienced Highly Experienced Hypo/hyperthermia regulation* N/A Inexperienced Limited Experience Experienced Highly Experienced CVA* N/A Inexperienced Limited Experience Experienced Highly Experienced Closed head injury* N/A Inexperienced Limited Experience Experienced Highly Experienced Overdose* N/A Inexperienced Limited Experience Experienced Highly Experienced Spinal cord injury* N/A Inexperienced Limited Experience Experienced Highly Experienced Pre/post neuro surgery* N/A Inexperienced Limited Experience Experienced Highly Experienced GastrointestinalAssessment of abdomen* N/A Inexperienced Limited Experience Experienced Highly Experienced Care of patient with GI bleed* N/A Inexperienced Limited Experience Experienced Highly Experienced Care of GI surgical patient* N/A Inexperienced Limited Experience Experienced Highly Experienced Administration of tube feedings* N/A Inexperienced Limited Experience Experienced Highly Experienced Placement of NG tube* N/A Inexperienced Limited Experience Experienced Highly Experienced IV TherapyStart peripheral IV's* N/A Inexperienced Limited Experience Experienced Highly Experienced Use of saline/heparin lock* N/A Inexperienced Limited Experience Experienced Highly Experienced Administration/mixing of IV meds* N/A Inexperienced Limited Experience Experienced Highly Experienced Administration of IV fluids* N/A Inexperienced Limited Experience Experienced Highly Experienced Blood/blood products administration: precautions/recognizing transfusion reactions/taking appropriate actions* N/A Inexperience Limited Experience Experienced Highly Experienced Hang IV piggybacks* N/A Inexperience Limited Experience Experienced Highly Experienced Use of infusion pumps* N/A Inexperience Limited Experience Experienced Highly Experienced IV calculations/titrate drip rates* N/A Inexperience Limited Experience Experienced Highly Experienced Knowledge of access and maintenance of central lines and catheters* N/A Inexperience Limited Experience Experienced Highly Experienced Other Nursing ResponsibilitiesCharge nurse responsibilities* N/A Inexperience Limited Experience Experienced Highly Experienced Drawing venous blood* N/A Inexperience Limited Experience Experienced Highly Experienced Drawing arterial blood* N/A Inexperience Limited Experience Experienced Highly Experienced Interpret lab values for electrolyte imbalances* N/A Inexperience Limited Experience Experienced Highly Experienced Isolation procedures/precautions* N/A Inexperience Limited Experience Experienced Highly Experienced Wound and skin care* N/A Inexperience Limited Experience Experienced Highly Experienced Use of restraints* N/A Inexperience Limited Experience Experienced Highly Experienced Oncology/chemotherapy administration* N/A Inexperience Limited Experience Experienced Highly Experienced Blood glucose monitoring* N/A Inexperience Limited Experience Experienced Highly Experienced Insulin administration* N/A Inexperience Limited Experience Experienced Highly Experienced Assess for signs and symptoms of insulin shock/diabetic coma* N/A Inexperience Limited Experience Experienced Highly Experienced BLS MM slash DD slash YYYY ACLS MM slash DD slash YYYY Telemetry Certificate MM slash DD slash YYYY ONS Chemo/Biotherapy Certification MM slash DD slash YYYY Other Chemo Certification MM slash DD slash YYYY Areas of Expertise:Consent* By submitting this form, I agree to all terms and conditions and agree to authorize consent EmailThis field is for validation purposes and should be left unchanged.